Individual
LESLIE DAWN SUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
934 S GARFIELD RD, AIRWAY HEIGHTS, WA 99001-9030
(509) 789-7614
Mailing address
934 S GARFIELD RD, AIRWAY HEIGHTS, WA 99001-9030
(509) 789-7614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG60922467
WA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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